A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

"I should take this medication with 8 ounces of milk."

"I should stay upright for at least 15 minutes after taking this medication."

"I should take an antacid with this medication to prevent stomach upset."

"I should notify my provider if my stools turn black."

Answer and Explanation

The Correct Answer is B

A. Taking ferrous gluconate with milk is not advised because calcium in milk can interfere with the absorption of iron. The client should avoid taking iron supplements with calcium-containing products.

B. Staying upright for at least 15 minutes after taking ferrous gluconate can help prevent esophageal irritation or discomfort. This instruction is crucial for iron supplements, as lying down immediately after ingestion can cause reflux or esophagitis.

C. Taking an antacid with ferrous gluconate can reduce its absorption. The client should be advised to avoid taking antacids, calcium supplements, or certain medications close to the time of iron intake.

D. Black stools are a common and harmless side effect of iron supplementation. The client should be informed that this is expected and not a reason to notify the provider unless there are additional concerning symptoms, such as abdominal pain or constipation.

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Correct Answer is C

Explanation

Choice A rationale: The nurse should not titrate TPN solution to blood pressure, as this can cause hypotension or hypertension.
Choice B rationale: The nurse should use an infusion pump to regulate the flow rate of TPN solution, not hang it to gravity, as this can cause over-infusion or under-infusion.
Choice C rationale: TPN is a form of nutrition that is delivered intravenously and provides all the essential nutrients for the client. TPN can cause fluid and electrolyte imbalances, infection, and hyperglycemia. Therefore, the nurse should monitor the client's weight daily to assess for fluid retention or loss, which can indicate overhydration or dehydration.
Choice D rationale: The nurse should also monitor the client's blood glucose level every 4 to 6 hours, not weekly, to detect and prevent hyperglycemia.

A. Monitor the client for hypotension. B. Instruct the client to obtain annual immunizations. C. Instruct the client to consume a diet high in calcium. D. Monitor the client frequently for episodes of hypoglycemia.

Correct Answer is C

Explanation

Choice A rationale: Hypotension is not a common side effect of prednisone use.
Choice B rationale: Prednisone can also suppress the immune system, so the client should avoid immunizations that contain live viruses or bacteria.
Choice C rationale: Prednisone is a corticosteroid that can cause osteoporosis and increase the risk of fractures in long-term use. Therefore, the nurse should instruct the client to consume a diet high in calcium and vitamin D to prevent bone loss and promote bone health.
Choice D rationale: Prednisone use is more likely to cause hyperglycemia rather than hypoglycemia.

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A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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